| NPI | 1740057173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN FIGHTER Owner/Limited License Counselor 231-445-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-12-27 |